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NPI Code Detail

MEDICARE: MR. DAVID JOSEPH MEINERS L.P.C.

MEDICARE: MR. DAVID JOSEPH MEINERS L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor000004CT

General Provider Information

NPI Number : 1598873358
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID JOSEPH MEINERS L.P.C.
Provider Business Mailing Address
First Line : PO BOX 742
Second Line :
City : SOUTHINGTON
State : CT
Zip : 06489-0742
Country : US
Telephone Number : 860-276-1026
Fax Number :
Provider Business Practice Location Address
First Line : 51 N MAIN ST
Second Line : SUITE 3-J
City : SOUTHINGTON
State : CT
Zip : 06489-2537
Country : US
Telephone Number : 860-276-1026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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